Archive for January, 2012

Proper consent

If you consent a patient for a port, when in reality they presented for a catheter, your attending may not allow you to do the case as punishment.

Hand-washing

Over 50%* of men do not wash their hands after using public restrooms. And of those that do, 80%* only rinse with water–no soap. This, surprisingly is no different for physicians, surgeons, and other healthcare professionals.

So, be careful who you shake hands with. And on a sidenote: does the same hold true for women?

* This data is by no means validated and is only a reflection of personal observation. No humans were harmed by the collection of this information.

Dressing a wound

When dressing a wound which is deep with extensive undermining, be certain to leave some tails of the dressing material easily accessible outside of the gaping hole. Otherwise, you may end up back in the hospital to have a surgeon extract gauze from the abyss of the wound.

Ultimate driving machine

BMW is the ultimate driving machine.

ABSITE benefits

Being promoted to chief for half a day is a lot of fun: working up a Level 1 trauma; reducing a dislocated shoulder using the put-a-foot-in-the-armpit-and-pull-on-the-arm technique; and formulating a plan directly with the attending. Reason being: PGY- 3, 4, and 5s took the ABSITE (American Board of Surgery In-Training Exam) today, meaning mid-levels got promoted to chiefs and interns got promoted to mid-levels for a few hours. Or, in some cases, interns got promoted to chiefs.

The reverse is true come the turn of the lower levels to take the exam and upper levels get downgraded. Every year starting two years from now, I will hate this day for having intern responsibilities again.

Too much technology

It’s not a good thing when we rely on technology so much that we can’t get what we need done without it. For example: if I need to sign a document and there is no way to sign said document other than on an electronic signature pad, which happens to be broken, therein lies a problem.

Mean

Don’t be mean or condescending to another physician. And if you are–even if you didn’t mean it–apologize.

That is, unless they are calling about something completely ludicrous.

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